| NPI | 1457624751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APRN002836) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 4745-33) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2024-02-22 |